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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />F <br /> <br /> PLEASE DESTROY <br /> ALL PREVIOUS RECORDS <br />DATE - <br /> <br />1. The septic system must be installed as shown above and must be inspected prior to cover. <br />2. All disposal trenches shall be installed so as to follow the natural contour of the ground. <br />3. If there are questions concerning the layout of the system, please call our office prior to construction of the system. <br /> <br />Name: .~'~.1::':':':':':':':'[~ V~l~'l/CD(.~ <br />Address: ~'1~ ~RU~ ~, ~ <br />Legal Description: T ~ R ~ S ~ <br /> Tex Lot No. ~1 G - ~ <br />System ~11 Serve: ~ ~ ~ <br />Projected Sewage Flow: . ~ gal/day <br />Water Supply: _ ~ <br />Issuance Date: ~- ~? ~ <br />Expiration Date: ~-~ ~ <br />(Request for renewal of this permit must be made ~rior to the <br />expiration date.) <br />IMPORTANT: Keep this document with your records, Show this <br />permit to the septic system installer prior to installation of the <br />system. Any deviation fr~e~pp[ov~lan m~ h~ prior <br /> <br />Signature ~ ~ R~ ~ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: -.~'T~-~,,,.flb <br />Septic Tank Capacity: ! ~ gal. min <br />Lineal Feet Disposal Field: <br />Distribution: -~')PJ ,~ ~'~' <br />Disposal Trench Depth: ~/-/~.,.~ <br />Filter Material Depth: <br />Minimum Soil Backfill: .......... <br />Curtain Drain: ( ) Yes; (,/,~ NO <br />Special Requirements: <br /> <br /> Site Number: <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />